HomeMy WebLinkAbout07080188 Application,"<< .. Permit 60-,710 R6
- City of Carmel/Clay Township
COMiERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
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"Na, a,, ! APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: PHONE: 5 / _/(V9 / FAX:
OF
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTA
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PROPERLY NAME: ?Aaw_ ~ A604) HONE: 3I 724 704 FAX: 3/1 290 -y966
OWNER:
tIu O?
STREET ADDRESS: l,{&("O
'Tt'ai ( CITY: Z d l"B ll3 STATE: =A J ZIP: el& I&
LOCATION
& PROJECT ADDRESS OF CONSTRUCTION:
S- SUITE #: (If Applicable)
INFO: Address of Shell Building: (if different than Address o f Construction) Let # and Subdivision: (ifApplicable)
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BUILDING, PROJECT, OR TENANT NAME: ZONING: T MAP PA CEL
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STATE COMMERCIAL SCOPE(S) OF C7 FDN O STIR D ARCH C MECH O PLUM SQUARE
DESIGN RELEASE RELEASE: O ELEC -D SPKLR OTHER(S): FOOTAGE:
WATER UTILITY SEWER UTILITY ESTIMATED COST OF CONST O
PROVIDER: PROVIDER: I? (EXCLUDING LAND VALU
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PLAN COMMISSION / BZA/ BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Flocrs: Elevator or Lift: Li YES 019- 1 BLDG. CONSTRUCTION TYPE: FJY1Me OCCUPANCY CLASSIFICATION:
TYPE OF ONSTRUCTION: 9
COMMERCIAL ewT
(Privately owned hospitals and r
cfhcesrcenters are commercial)
D INSTITUTIONAL
O Municipal/PublIC &d
D School
D Church
O MULTI-FAMILY
Number of units:_ _ .. r) 1
'B TYPE OF IMPROVEMENT:
O NEW
O Porch
D Mezzanine or Deck
NEW TENANT FINISH
,RMSSORY BUILDING
DETACHED GARAGE .
Early Release / Manufactured /
Permit: _Y N Trusses: _Y N
Lot Split: _Y _Iff(- Sump Pump: _Y /!N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
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SLrtA-.B??.?? 0l ?J rnCddgLWUSPACE yDHI'IIION? ?? `I mber's ndiana State License #
? P(DiriipT OF l?? ,nc IEC? YBAS MENT-(WAL.KOIIT:_Y \M1
CITY( ' '? n n1 A:1 "'\1V)
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Class I structure permits are subject to the General Adm ?d % Rules of the Stan of [n 'ants a 675 LAC 12) regarding expiration rime frames for beginning and
t? completing cons=i
1, the undersigned, agree that any constriction, reconstruction; enlarge ment: reloca[ien, oral t a structure, or any e:range in the use of land or structures requested by
dhis application will comply with, and conform to; all applicable laws of the State of Lrddima, wd the "Zoning Ordinance of Carmel Indiana -1993' (Z-289) anal amendments,
adapted under authority of LC 36-7 ei seq, General Ass blyofthe State of irdiana:and all Acts amendatory thereto. I further certify that only kitchea. barb, and 9oer drains are
connected to the savrry sewer. I further certify thA the construction will -not be used or occupied until a CeZfieare of Occupancy or-Suhstannal Completion has been
issued by the Department of Comfort cos Carmel. Indima
Signature of owner or Authorized Agent Print Date
OFFICE USE ONLY: ******************* , ***
INSPECTIONS REQUIRED: /
Upper Footing Lower Footing Under Sla 1 )?
Rough In Meter Base Final Site tC
thYY b txd ?7
Reviewed/ proved: Dept. of Community Services Date)
S:PermltsrFO LPCOMMERNL
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iling Fees: lag,
Inspections: